<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022025000100003</article-id>
<article-id pub-id-type="doi">10.51481/amc.v67i1.1521</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Suicidio en profesionales de la salud: retos para toda una sociedad]]></article-title>
<article-title xml:lang="en"><![CDATA[Suicide among healthcare professionals: challenges for society as a whole]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Millán-González]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Escuela de Medicina Departamento de Psiquiatría]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>67</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>6</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022025000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022025000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022025000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El suicidio en personal de salud es un problema global que previamente no había sido estudiado en Costa Rica. En el presente número de Acta Médica Costarricense, Mora - Torres y colaboradores abordan su ocurrencia a lo largo de 10 años en una muestra retrospectiva de autopsias realizadas en la Sección de Patología Forense del Organismo de Investigación Judicial. Los factores de riesgo detectados más importantes son el sexo masculino, ser profesional en enfermería o medicina y tener antecedentes psiquiátricos. Algunos de los factores que podrían explicar el suicidio en personal de salud son la cultura médica predominante, el síndrome de burnout, los fenómenos postraumáticos y la disociación, las espirales nocivas crecientes de ambientes de hostilidad y bajo rendimiento académico, así como las circunstancias culturales de algunos de los estudiantes de medicina actuales y del futuro. Acciones concretas ante este escenario podrían ser el ejercicio de mentoría docente desde etapas tempranas, la conciliación entre el número de horas trabajadas y las expectativas y demandas del sistema, la adecuada oferta y normalización de los servicios de atención en salud mental, la temprana detección de fenómenos postraumáticos, la instauración de intervenciones adaptadas por género y la implementación de estrategias organizacionales para reducir el estrés crónico y el estigma. Algunos de los recursos existentes a los que se puede acudir son la atención psiquiátrica dentro de la clínica de especialidades médicas del Colegio de Médicos y Cirujanos de Costa Rica y la Red Integral de Promoción del Bienestar y Apoyo de la Salud Mental del Sistema de Estudios de Posgrado de la Universidad de Costa Rica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Suicide among healthcare personnel is a global health problem that had not been previously studied in Costa Rica. In the current issue of Acta Médica Costarricense, Mora - Torres and colleagues examine its occurrence over a 10-year period in a retrospective sample of autopsies conducted by the Forensic Pathology Section of the Judicial Investigation Agency (Organismo de Investigación Judicial). The most significant identified risk factors are being male, being a nursing or medical professional, and having a history of psychiatric disorders. Some factors that may explain suicide among healthcare personnel include the prevailing medical culture, burnout syndrome, post- traumatic and dissociative phenomena, downward spirals in hostile environments with low academic performance, and the cultural circumstances of current and future medical students. Concrete actions in response to this scenario could include early- stage faculty mentorship, an equilibrium between working hours and the expectations and demands of the system, appropriate availability and normalization of mental health care services, early detection of post-traumatic phenomena, implementation of gender- adapted interventions, and organizational strategies to reduce chronic stress and stigma. Existing resources that can be accessed include psychiatric care at the Medical Specialties Clinic of the Costa Rican College of Physicians and Surgeons (Colegio de Médicos y Cirujanos de Costa Rica) and the Comprehensive Network for the Promotion of Wellbeing and Mental Health Support of the Graduate Studies System (Sistema de Estudios de Postgrado) of the University of Costa Rica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[suicidio]]></kwd>
<kwd lng="es"><![CDATA[suicidio en personal de salud]]></kwd>
<kwd lng="es"><![CDATA[síndrome de burnout]]></kwd>
<kwd lng="en"><![CDATA[Suicide]]></kwd>
<kwd lng="en"><![CDATA[suicide among healthcare personnel]]></kwd>
<kwd lng="en"><![CDATA[burnout syndrome.]]></kwd>
</kwd-group>
</article-meta>
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